Vijayalakshmi Reddy Md Llc | |
821 N Eutaw St Ste 312 Baltimore MD 21201-4648 | |
(410) 225-4455 | |
(410) 462-5079 |
Full Name | Vijayalakshmi Reddy Md Llc |
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Speciality | Internal Medicine |
Location | 821 N Eutaw St, Baltimore, Maryland |
Authorized Official Name and Position | Louise Macy (BILLING MGR) |
Authorized Official Contact | 4109983920 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Vijayalakshmi Reddy Md Llc 10320 Castlefield St Ellicott City MD 21042-5865 Ph: (443) 794-6871 | Vijayalakshmi Reddy Md Llc 821 N Eutaw St Ste 312 Baltimore MD 21201-4648 Ph: (410) 225-4455 |
NPI Number | 1013122035 |
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Provider Enumeration Date | 05/12/2007 |
Last Update Date | 02/02/2012 |
Medicare PECOS PAC ID | 1759375512 |
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Medicare Enrollment ID | O20040413001705 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013122035 | NPI | - | NPPES |
124800601 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | D47644 (Maryland) | Primary |
Provider Name | Vijayalaksami Reddy |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1992869572 PECOS PAC ID: 9032103809 Enrollment ID: I20041220000899 |
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